The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

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Time to expand indications for thoracic endovascular aortic repair (TEVAR) in the setting of aortic dissection?

EuroIntervention 2019;14:e1809-e1811. DOI: 10.4244/EIJV14I18A317

Department of Cardiology, The Heart Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark


Over the past decade, thoracic endovascular aortic repair (TEVAR) has increasingly been used to manage Stanford type B aortic dissection due to lower morbidity and mortality as compared with open repair techniques. In the study “In situ diode laser fenestration of aortic arch stent graft during TEVAR of Stanford type A aortic dissection” by Qin et al1, 58 patients with acute or subacute Stanford type A aortic dissection were treated with TEVAR and in situ diode laser fenestration to construct the supra-aortic branches.

Procedural success was achieved in more than 90% of cases. Computed tomography angiography (CTA) demonstrated 100% primary patency ...

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